Korean J Obstet Gynecol.
2004 Nov;47(11):2229-2235.
A Case of Pregnancy in Patient with Pulmonary Lymphangioleiomyomatosis
- Affiliations
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- 1Department of Obstetrics and Gynecology, College of Medicine, Seoul National University, Seoul, Korea.
- 2Department of Obstetrics and Gynecology, Seoul Municipal Boramae Hospital, Seoul, Korea.
Abstract
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Pulmonary lymphangioleiomyomatosis is a rare disorder of unknown cause and characterised by hamartomatous proliferation of smooth muscle occurring in women of reproductive age exclusively. It causes dyspnea, recurrent pneumothorax, chylothorax, hemoptysis and respiratory failure eventually. Chest radiographs show diffuse interstitial infiltrates and cysts of uniform size, and pulmonary function tests often show airflow limitation with increase in residual volume. Hormonal factors are thought to play a role because it generally affects premenopausal women, but there is no definite treatment yet. We present an unusual case of pulmonary lymphangioleiomyomatosis during normal pregnancy with a review of literature.